US8267969B2 - Screw systems and methods for use in stabilization of bone structures - Google Patents
Screw systems and methods for use in stabilization of bone structures Download PDFInfo
- Publication number
- US8267969B2 US8267969B2 US11/726,093 US72609307A US8267969B2 US 8267969 B2 US8267969 B2 US 8267969B2 US 72609307 A US72609307 A US 72609307A US 8267969 B2 US8267969 B2 US 8267969B2
- Authority
- US
- United States
- Prior art keywords
- seat
- rod
- coupler
- cap
- screw
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Links
- 210000000988 bone and bone Anatomy 0.000 title claims abstract description 117
- 238000000034 method Methods 0.000 title abstract description 50
- 230000006641 stabilisation Effects 0.000 title abstract description 14
- 238000011105 stabilization Methods 0.000 title abstract description 14
- 230000033001 locomotion Effects 0.000 claims abstract description 53
- 230000007246 mechanism Effects 0.000 claims description 40
- KJLPSBMDOIVXSN-UHFFFAOYSA-N 4-[4-[2-[4-(3,4-dicarboxyphenoxy)phenyl]propan-2-yl]phenoxy]phthalic acid Chemical compound C=1C=C(OC=2C=C(C(C(O)=O)=CC=2)C(O)=O)C=CC=1C(C)(C)C(C=C1)=CC=C1OC1=CC=C(C(O)=O)C(C(O)=O)=C1 KJLPSBMDOIVXSN-UHFFFAOYSA-N 0.000 claims description 23
- 238000003780 insertion Methods 0.000 claims description 18
- 230000037431 insertion Effects 0.000 claims description 18
- 230000000717 retained effect Effects 0.000 claims description 17
- 230000009471 action Effects 0.000 claims description 6
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- 230000002441 reversible effect Effects 0.000 claims description 4
- 230000013011 mating Effects 0.000 claims description 3
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- 230000000295 complement effect Effects 0.000 claims 6
- 208000002193 Pain Diseases 0.000 abstract description 6
- 238000009434 installation Methods 0.000 abstract description 5
- 230000002829 reductive effect Effects 0.000 abstract description 5
- 210000002517 zygapophyseal joint Anatomy 0.000 description 14
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- 208000035475 disorder Diseases 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
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- 230000036961 partial effect Effects 0.000 description 3
- 125000006850 spacer group Chemical group 0.000 description 3
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- 206010017076 Fracture Diseases 0.000 description 2
- 206010061246 Intervertebral disc degeneration Diseases 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 2
- 208000002607 Pseudarthrosis Diseases 0.000 description 2
- 206010058907 Spinal deformity Diseases 0.000 description 2
- 208000007103 Spondylolisthesis Diseases 0.000 description 2
- 210000003484 anatomy Anatomy 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
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- 208000018180 degenerative disc disease Diseases 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 239000003292 glue Substances 0.000 description 2
- 208000021600 intervertebral disc degenerative disease Diseases 0.000 description 2
- 210000003041 ligament Anatomy 0.000 description 2
- 230000000670 limiting effect Effects 0.000 description 2
- 230000003278 mimic effect Effects 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
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- 230000007480 spreading Effects 0.000 description 2
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- 239000011800 void material Substances 0.000 description 2
- 208000012659 Joint disease Diseases 0.000 description 1
- 208000020307 Spinal disease Diseases 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
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- 230000000712 assembly Effects 0.000 description 1
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- 238000005422 blasting Methods 0.000 description 1
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Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7032—Screws or hooks with U-shaped head or back through which longitudinal rods pass
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7002—Longitudinal elements, e.g. rods
- A61B17/7004—Longitudinal elements, e.g. rods with a cross-section which varies along its length
- A61B17/7005—Parts of the longitudinal elements, e.g. their ends, being specially adapted to fit in the screw or hook heads
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/7037—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other wherein pivoting is blocked when the rod is clamped
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/56—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
- A61B17/58—Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
- A61B17/68—Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
- A61B17/70—Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
- A61B17/7001—Screws or hooks combined with longitudinal elements which do not contact vertebrae
- A61B17/7035—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other
- A61B17/704—Screws or hooks, wherein a rod-clamping part and a bone-anchoring part can pivot relative to each other the longitudinal element passing through a ball-joint in the screw head
Landscapes
- Health & Medical Sciences (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Neurology (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Prostheses (AREA)
Abstract
Description
Claims (68)
Priority Applications (13)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US11/726,093 US8267969B2 (en) | 2004-10-20 | 2007-03-20 | Screw systems and methods for use in stabilization of bone structures |
US11/801,186 US20070219556A1 (en) | 2004-10-20 | 2007-05-09 | System and methods for posterior dynamic stabilization of the spine |
US11/801,319 US20070225713A1 (en) | 2004-10-20 | 2007-05-09 | Systems and methods for posterior dynamic stabilization of the spine |
US11/801,194 US20070225712A1 (en) | 2004-10-20 | 2007-05-09 | Systems and methods for posterior dynamic stabilization of the spine |
CA002682180A CA2682180A1 (en) | 2007-03-20 | 2008-03-20 | Screw systems and methods for use in stabilization of bone structures |
EP08727028A EP2142119A4 (en) | 2007-03-20 | 2008-03-20 | Screw systems and methods for use in stabilization of bone structures |
AU2008229323A AU2008229323A1 (en) | 2007-03-20 | 2008-03-20 | Screw systems and methods for use in stabilization of bone structures |
PCT/US2008/003677 WO2008115549A1 (en) | 2007-03-20 | 2008-03-20 | Screw systems and methods for use in stabilization of bone structures |
US12/079,676 US8535352B2 (en) | 2004-10-20 | 2008-03-28 | Multi-level minimally invasive spinal stabilization system |
PCT/US2008/079580 WO2009049206A2 (en) | 2005-07-22 | 2008-10-10 | Offset connector for a spinal stabilization rod |
US12/249,203 US20090036929A1 (en) | 2005-07-22 | 2008-10-10 | Offset connector for a spinal stabilization rod |
IL201031A IL201031A0 (en) | 2007-03-20 | 2009-09-17 | Screw systems and methods for use in stabilization of bone structures |
US12/966,807 US8551142B2 (en) | 2004-10-20 | 2010-12-13 | Methods for stabilization of bone structures |
Applications Claiming Priority (9)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/970,366 US8162985B2 (en) | 2004-10-20 | 2004-10-20 | Systems and methods for posterior dynamic stabilization of the spine |
US11/006,495 US8075595B2 (en) | 2004-10-20 | 2004-12-06 | Systems and methods for posterior dynamic stabilization of the spine |
US11/033,452 US7998175B2 (en) | 2004-10-20 | 2005-01-10 | Systems and methods for posterior dynamic stabilization of the spine |
US70166005P | 2005-07-22 | 2005-07-22 | |
US11/362,366 US8226690B2 (en) | 2005-07-22 | 2006-02-23 | Systems and methods for stabilization of bone structures |
US11/436,407 US8025680B2 (en) | 2004-10-20 | 2006-05-17 | Systems and methods for posterior dynamic stabilization of the spine |
US11/427,738 US7935134B2 (en) | 2004-10-20 | 2006-06-29 | Systems and methods for stabilization of bone structures |
US11/586,849 US20070239159A1 (en) | 2005-07-22 | 2006-10-25 | Systems and methods for stabilization of bone structures |
US11/726,093 US8267969B2 (en) | 2004-10-20 | 2007-03-20 | Screw systems and methods for use in stabilization of bone structures |
Related Parent Applications (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US42773606A Continuation-In-Part | 2004-10-20 | 2006-06-29 | |
US11/427,738 Continuation-In-Part US7935134B2 (en) | 2004-10-20 | 2006-06-29 | Systems and methods for stabilization of bone structures |
US11/586,849 Continuation-In-Part US20070239159A1 (en) | 2004-10-20 | 2006-10-25 | Systems and methods for stabilization of bone structures |
Related Child Applications (6)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/427,738 Continuation-In-Part US7935134B2 (en) | 2004-10-20 | 2006-06-29 | Systems and methods for stabilization of bone structures |
US11/801,186 Continuation-In-Part US20070219556A1 (en) | 2004-10-20 | 2007-05-09 | System and methods for posterior dynamic stabilization of the spine |
US11/801,319 Continuation-In-Part US20070225713A1 (en) | 2004-10-20 | 2007-05-09 | Systems and methods for posterior dynamic stabilization of the spine |
US11/801,194 Continuation-In-Part US20070225712A1 (en) | 2004-10-20 | 2007-05-09 | Systems and methods for posterior dynamic stabilization of the spine |
US12/079,676 Continuation-In-Part US8535352B2 (en) | 2004-10-20 | 2008-03-28 | Multi-level minimally invasive spinal stabilization system |
US12/966,807 Division US8551142B2 (en) | 2004-10-20 | 2010-12-13 | Methods for stabilization of bone structures |
Publications (2)
Publication Number | Publication Date |
---|---|
US20070167949A1 US20070167949A1 (en) | 2007-07-19 |
US8267969B2 true US8267969B2 (en) | 2012-09-18 |
Family
ID=39668829
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US11/726,093 Active 2027-10-10 US8267969B2 (en) | 2004-10-20 | 2007-03-20 | Screw systems and methods for use in stabilization of bone structures |
US12/966,807 Active 2025-02-10 US8551142B2 (en) | 2004-10-20 | 2010-12-13 | Methods for stabilization of bone structures |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/966,807 Active 2025-02-10 US8551142B2 (en) | 2004-10-20 | 2010-12-13 | Methods for stabilization of bone structures |
Country Status (6)
Country | Link |
---|---|
US (2) | US8267969B2 (en) |
EP (1) | EP2142119A4 (en) |
AU (1) | AU2008229323A1 (en) |
CA (1) | CA2682180A1 (en) |
IL (1) | IL201031A0 (en) |
WO (1) | WO2008115549A1 (en) |
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US20090125047A1 (en) * | 2005-07-22 | 2009-05-14 | Joey Camia Reglos | Tissue splitter |
US20120179209A1 (en) * | 2010-12-10 | 2012-07-12 | Lutz Biedermann | Receiving part for receiving a rod for coupling the rod to a bone anchoring element and a bone anchoring device |
US20130079826A1 (en) * | 2011-09-23 | 2013-03-28 | Peter M. Simonson | Spinal rod and bone screw caps for spinal systems assemblies |
US8551142B2 (en) | 2004-10-20 | 2013-10-08 | Exactech, Inc. | Methods for stabilization of bone structures |
US20140005725A1 (en) * | 2012-07-02 | 2014-01-02 | James C. Robinson | Bone screw coupling assembly |
US9050139B2 (en) | 2004-02-27 | 2015-06-09 | Roger P. Jackson | Orthopedic implant rod reduction tool set and method |
US9055978B2 (en) | 2004-02-27 | 2015-06-16 | Roger P. Jackson | Orthopedic implant rod reduction tool set and method |
US9364262B2 (en) | 2012-07-02 | 2016-06-14 | Spectrum Spine Ip Holdings, Llc | Bone screw coupling assembly |
US20160331413A1 (en) * | 2014-06-13 | 2016-11-17 | Orthopediatrics Corp. | Bottom loaded pedicle screw |
US9498231B2 (en) | 2011-06-27 | 2016-11-22 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US9532815B2 (en) | 2004-02-27 | 2017-01-03 | Roger P. Jackson | Spinal fixation tool set and method |
US9861495B2 (en) | 2013-03-14 | 2018-01-09 | Raed M. Ali, M.D., Inc. | Lateral interbody fusion devices, systems and methods |
US9918751B2 (en) | 2004-02-27 | 2018-03-20 | Roger P. Jackson | Tool system for dynamic spinal implants |
US9980750B2 (en) | 2011-03-18 | 2018-05-29 | Raed M. Ali, M.D., Inc. | Spinal fusion devices and systems |
US10039577B2 (en) | 2004-11-23 | 2018-08-07 | Roger P Jackson | Bone anchor receiver with horizontal radiused tool attachment structures and parallel planar outer surfaces |
US10105149B2 (en) | 2013-03-15 | 2018-10-23 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
EP3441028A1 (en) | 2017-08-08 | 2019-02-13 | Biedermann Technologies GmbH & Co. KG | Receiving part and instrument for holding the receiving part |
US10219811B2 (en) | 2011-06-27 | 2019-03-05 | Board Of Regents Of The University Of Nebraska | On-board tool tracking system and methods of computer assisted surgery |
US10299839B2 (en) | 2003-12-16 | 2019-05-28 | Medos International Sárl | Percutaneous access devices and bone anchor assemblies |
US10349982B2 (en) | 2011-11-01 | 2019-07-16 | Nuvasive Specialized Orthopedics, Inc. | Adjustable magnetic devices and methods of using same |
US10478232B2 (en) | 2009-04-29 | 2019-11-19 | Nuvasive Specialized Orthopedics, Inc. | Interspinous process device and method |
US10485588B2 (en) | 2004-02-27 | 2019-11-26 | Nuvasive, Inc. | Spinal fixation tool attachment structure |
US10617453B2 (en) | 2015-10-16 | 2020-04-14 | Nuvasive Specialized Orthopedics, Inc. | Adjustable devices for treating arthritis of the knee |
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Also Published As
Publication number | Publication date |
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WO2008115549A1 (en) | 2008-09-25 |
US20110144701A1 (en) | 2011-06-16 |
CA2682180A1 (en) | 2008-09-25 |
EP2142119A4 (en) | 2012-08-15 |
US20070167949A1 (en) | 2007-07-19 |
US8551142B2 (en) | 2013-10-08 |
AU2008229323A1 (en) | 2008-09-25 |
IL201031A0 (en) | 2010-05-17 |
EP2142119A1 (en) | 2010-01-13 |
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